Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Trine Bradshaw, IBCLC

Individual provider Lactation Consultant (Non-RN) · NPI 1396101077

Trine Bradshaw, IBCLC is a Lactation Consultant (Non-RN) in Mesa, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2016
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Practice location Address checks out

9709 E Impala Ave
Mesa, AZ 85209-7044
Phone: (480) 242-5588
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Specialties & licences

Lactation Consultant (Non-RN) (primary) Taxonomy 174N00000X · Licence L-17897 (AZ)

Record details

NPI number1396101077
Entity typeIndividual (Type 1)
GenderFemale
Credentials IBCLC
Sole proprietorYes
NPI enumeratedJanuary 11, 2016
Last updated in NPPESJanuary 11, 2016
Mailing address9709 E Impala Ave, Mesa, AZ 85209-7044

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